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Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial
- Source :
- Trials, Vol 19, Iss 1, Pp 1-15 (2018), Trials
- Publication Year :
- 2018
- Publisher :
- BMC, 2018.
-
Abstract
- Background New smartphone communication technology provides a novel way to provide personalized continuing care support following alcohol treatment. One such system is the Addiction version of the Comprehensive Health Enhancement Support System (A-CHESS), which provides a range of automated functions that support patients. A-CHESS improved drinking outcomes over standard continuing care when provided to patients leaving inpatient treatment. Effective continuing care can also be delivered via telephone calls with a counselor. Telephone Monitoring and Counseling (TMC) has demonstrated efficacy in two randomized trials with alcohol-dependent patients. A-CHESS and TMC have complementary strengths. A-CHESS provides automated 24/7 recovery support services and frequent assessment of symptoms and status, but does not involve regular contact with a counselor. TMC provides regular and sustained contact with the same counselor, but no ongoing support between calls. The future of continuing care for alcohol use disorders is likely to involve automated mobile technology and counselor contact, but little is known about how best to integrate these services. Methods/Design To address this question, the study will feature a 2 × 2 design (A-CHESS for 12 months [yes/no] × TMC for 12 months [yes/no]), in which 280 alcohol-dependent patients in intensive outpatient programs (IOPs) will be randomized to one of the four conditions and followed for 18 months. We will determine whether adding TMC to A-CHESS produces fewer heavy drinking days than TMC or A-CHESS alone and test for TMC and A-CHESS main effects. We will determine the costs of each of the four conditions and the incremental cost-effectiveness of the three active conditions. Analyses will also examine secondary outcomes, including a biological measure of alcohol use, and hypothesized moderation and mediation effects. Discussion The results of the study will yield important information on improving patient alcohol use outcomes by integrating mobile automated recovery support and counselor contact. Trial registration ClinicalTrials.gov, NCT02681406. Registered on 2 September 2016. Electronic supplementary material The online version of this article (10.1186/s13063-018-2466-1) contains supplementary material, which is available to authorized users.
- Subjects :
- Counseling
Male
Drug use outcomes
Time Factors
Cost effectiveness
030508 substance abuse
Medicine (miscellaneous)
Alcohol use disorder
Health Services Accessibility
law.invention
Study Protocol
Automation
0302 clinical medicine
Randomized controlled trial
Recurrence
law
Pharmacology (medical)
Prospective Studies
030212 general & internal medicine
Mobile health
Randomized Controlled Trials as Topic
media_common
Automated recovery support
Philadelphia
lcsh:R5-920
Alcohol Abstinence
Continuity of Patient Care
Middle Aged
Telemedicine
3. Good health
Alcoholism
Treatment Outcome
Continuing care
Female
Medical emergency
Smartphone
0305 other medical science
lcsh:Medicine (General)
Adult
Mediation (statistics)
Adolescent
Alcohol Drinking
media_common.quotation_subject
education
A-CHESS
Intervention costs
Young Adult
03 medical and health sciences
Telephone counseling
medicine
Humans
Interpersonal Relations
Mobile technology
Aged
business.industry
Addiction
medicine.disease
Telephone
Alcohol use outcomes
Cost-effectiveness
business
Subjects
Details
- Language :
- English
- ISSN :
- 17456215
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Trials
- Accession number :
- edsair.doi.dedup.....51c0176929747d6e3d91a627298e2d4f